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Citizen Complaint Form

  1. YOUR INFORMATION
    Please provide your contact information.
  2. WITNESS INFORMATION
    Please provide contact information for any witnesses.
  3. OFFICER / EMPLOYEE INFORMATION
    Please provide the names of the officer(s) or employee(s) involved.
  4. INCIDENT DETAILS
    Please provide information regarding the incident.
  5. SIGNATURE AND ACKNOWLEDGEMENT
    By signing this form, I acknowledge that the information I’ve provided is true and correct to the best of my knowledge. I understand that it is a criminal offense to make a false statement to a member of the police department, pursuant section 76-8-503 and/or 76-8-504, of the Utah Criminal Code. I understand that digital signatures are considered legal in the State of Utah.
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  7. This field is not part of the form submission.